刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049947159},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049949098},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038060},{"body":{"content":"很长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050058454},{"body":{"content":"好几年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050061952},{"body":{"content":"腿上也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050073335},{"body":{"content":"至少十年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089095},{"body":{"content":"下胳膊最近有点一扣就烂上胳膊十年多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050126336},{"body":{"content":"看照片考虑毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173144},{"body":{"content":"不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177713},{"body":{"content":"但是胳膊腿上都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200854},{"body":{"content":"没法去除吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050206137},{"body":{"content":"用药无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219417},{"body":{"content":"其他的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231147},{"body":{"content":"没有什么了，不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246931},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050254375},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258397},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267966}]

男18岁

2022.05.20

[{"body":{"content":"请问有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049954699},{"body":{"content":"嗯，您看一下我的这些报告单，然后嗯之前做了心脏搭桥手术，我后面就一直在吃药，但是医生说我有心衰，我看报告上说提示有心尖部室壁瘤形成，我需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020642},{"body":{"content":"我这个病情目前属于严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050040122},{"body":{"content":"这是上次心梗遗留的后遗症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050061677},{"body":{"content":"该如何治疗么，病情严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090760},{"body":{"content":"暂时只能这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050101328},{"body":{"content":"室壁瘤如果要处理要找心外科开胸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124239},{"body":{"content":"还需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050131462},{"body":{"content":"暂时不管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133777},{"body":{"content":"吃药能治好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141896},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146748},{"body":{"content":"这个会有生命危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050150667},{"body":{"content":"那什么时候治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160175},{"body":{"content":"主要是冠心病的风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050174638},{"body":{"content":"如果再发心梗容易猝死","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190727},{"body":{"content":"心脏破裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197049},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220520},{"body":{"content":"上一次心梗估计拖时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222607},{"body":{"content":"好好吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227338},{"body":{"content":"定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230656},{"body":{"content":"药吃完之后没见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246090},{"body":{"content":"反而说心衰更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255989},{"body":{"content":"从图里哪个指标能判断心衰的严重程度啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050283348},{"body":{"content":"没看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289776},{"body":{"content":"要看BNP结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297937},{"body":{"content":"像我这种情况还可以上班么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343445},{"body":{"content":"不适合体力劳动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380626},{"body":{"content":"看看监控室这种可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400934},{"body":{"content":"不能熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416783},{"body":{"content":"目前我比较严重的地方是在哪呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050456768},{"body":{"content":"哪些病情的描述是比较严重的啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050480630},{"body":{"content":"心梗后心衰，肝功能异常，血脂高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523187},{"body":{"content":"室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050526979},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603973},{"body":{"content":"能帮我分析一下我的报告吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623507},{"body":{"content":"分析了啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637651},{"body":{"content":"心梗之后就做了心脏搭桥，没有拖着，然后一直吃药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050646315},{"body":{"content":"室壁瘤为什么会产生呢？那这个我到底什么时候再去做手术呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673337},{"body":{"content":"心梗时间长会导致并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695123},{"body":{"content":"越早效果越好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732285},{"body":{"content":"这个估计当时时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744762},{"body":{"content":"您的意思是室壁瘤越早治疗越好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785739},{"body":{"content":"治疗早就不会有室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817987},{"body":{"content":"可是为啥您说不用管呢先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820743},{"body":{"content":"现在已经有了，暂时先观察吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829047},{"body":{"content":"或者你也可以咨询下心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837884},{"body":{"content":"这个很严重是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913400},{"body":{"content":"我看这上面的介绍很可怕啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998746},{"body":{"content":"是心梗的比较严重的并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051060216},{"body":{"content":"你可以咨询下心外科关于开刀方面的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076045},{"body":{"content":"这个风险大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051160383},{"body":{"content":"相比搭桥手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168648},{"body":{"content":"大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176348},{"body":{"content":"你做的是支架","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182550},{"body":{"content":"不是搭桥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192040},{"body":{"content":"不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051194499},{"body":{"content":"这个手术要开胸的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051202670},{"body":{"content":"像你这么重的冠心病风险肯定大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217930},{"body":{"content":"能推荐一下**好的医院和专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353404},{"body":{"content":"安贞医院和阜外医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441436},{"body":{"content":"我目前保守治疗行么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051579322},{"body":{"content":"只吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051584104},{"body":{"content":"观察吧，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051599798},{"body":{"content":"这两个医院有好的专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051606161},{"body":{"content":"我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051636633},{"body":{"content":"看心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051643910},{"body":{"content":"具体哪些专家我也不是很清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654703},{"body":{"content":"较小的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051666139},{"body":{"content":"\n我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688555},{"body":{"content":"麻烦回我一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051700215}]

男47岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049639164},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647673},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652407},{"body":{"content":"尿频 / 尿急 / 尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049686434},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689814},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694504},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697555},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049702785},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706923},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049717311},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721005},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726512},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049729514},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732828},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736919},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742290},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049753165},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824357},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826372},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049828244},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888699},{"body":{"content":"开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944598},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948591},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049970685},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077740},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051079804}]

男31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878608014},{"body":{"content":"身体健康状态怎么样？身高体重是多少？平时有锻炼身体吗？有没有高血压糖尿病冠心病，有没有再服用治疗慢性病的药物？有没有药物过敏史？平时心理压力怎么样，做事能够集中精力吗？焦虑失眠吗？经常处于紧张状态吗？\n\n性生活规律不，多久一次？\n阴茎勃起功能（硬度）没有问题吧？\n\n最好的状态是几分钟？可以通过转移注意力、中途停顿等方式适度延长性生活时间吗？对方对性生活时间满意吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878643974},{"body":{"content":"身体还可以，就是太久没运动了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878714239},{"body":{"content":"身高171，体重在137左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878734738},{"body":{"content":"没有高血压，冠心病和糖尿病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878752124},{"body":{"content":"没要药物过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878763481},{"body":{"content":"熬夜比较多，上班时偶尔会犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878785273},{"body":{"content":"性生活近一年比较少，勃起没问题，偶尔一次没那么硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834274},{"body":{"content":"最好的状态应该在差不多10分钟左右，现在都是3分钟左右比较多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871403},{"body":{"content":"BP也是比较长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878911654},{"body":{"content":"请问这个需要吃药控制吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879004325},{"body":{"content":"2-7分钟为正常。青年平均6.6分钟。中老年平均4.3分钟。\n\n性生活不稳定，很久一次，一触即发很正常的\n\n有没有乏力，耳鸣，腰酸的症状？是怕热还是怕冷还是没有什么冷热不适的感觉，手脚冰凉或是容易出汗吗？我能看看你的舌苔吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882398248},{"body":{"content":"乏力没睡饱的时候比较明显，耳鸣有时候会，但基本可能一两个月会有一两次，偶尔会怕冷，手脚不会冰凉，出汗比较少，也不大。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925416405},{"body":{"content":"舌苔我晚点发你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925423282}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050269114},{"body":{"content":"今天也是这种不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299433},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300067},{"body":{"content":"请问您最后一次月经什么时候来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300909},{"body":{"content":"5.5来的 5.11结束的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468760},{"body":{"content":"平时月经多少天来一次呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509610},{"body":{"content":"28天 一次来7天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050614814},{"body":{"content":"嗯嗯，现在疼痛的严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633360},{"body":{"content":"不是特严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671108},{"body":{"content":"就是坠得慌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687816},{"body":{"content":"之前有出现过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689994},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708365},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716023},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719782},{"body":{"content":"已婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722444},{"body":{"content":"怀孕也是可能引起腹痛腰疼的，您目前有先排除怀孕的可能性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734638},{"body":{"content":"因为来完事没几天 所以没考虑怀孕的可能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756823},{"body":{"content":"嗯嗯，最好是排除一下怀孕，如果没有怀孕有可能是排卵痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811959},{"body":{"content":"白带有发黄吗/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820267},{"body":{"content":"刚完事几天 验孕棒能查出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872107},{"body":{"content":"昨天有一点点黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050884583},{"body":{"content":"可以的，如果是怀孕也可以测试出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889705},{"body":{"content":"您之前有盆腔炎病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895158},{"body":{"content":"没有盆腔炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050931579},{"body":{"content":"好的，那可能是排卵痛，您可以局部热敷一下，注意保暖，可以再观察看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959911},{"body":{"content":"好的，那还要考虑怀孕嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008294},{"body":{"content":"先测孕？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051020140},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051027167},{"body":{"content":"不一定怀孕，但是测试没有怀孕更放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051037356},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051040202},{"body":{"content":"不会有其他炎症吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051048400},{"body":{"content":"如果您腹痛、腰疼一直有不缓解，也有可能是有盆腔炎的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051107536},{"body":{"content":"这个是需要到线下医院让医生给您做触诊检查判断的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117975},{"body":{"content":"那观察几天没缓解需要去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179711},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214935},{"body":{"content":"如果一直不缓解有加重就建议医院检查了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232131},{"body":{"content":"两三天后不缓解去可以吗，还是四五天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335040},{"body":{"content":"观察2-3天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051361757},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367274},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398565},{"body":{"content":"注意休息、少熬夜；别吃生冷、刺激食物。睡前用温水泡泡脚，注意保暖；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585920},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051587787},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589549}]

女25岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师邬美俊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131453},{"body":{"content":"这种情况多久了？\n出现症状之后最近都用过什么药物治疗？\n\n（具体用药药物名称，是否有过敏药物，肝肾等疾病、慢性病、基础疾病，备孕（老幼可忽略）、妊娠期哺乳期（男性、老幼可忽略）等情况请提前说明，不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159732},{"body":{"content":"用过**** 和红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255616},{"body":{"content":"您的图片收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272096},{"body":{"content":"俩个多星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050277219},{"body":{"content":"从您提供的图片上可以看到一些闭口粉刺。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277651},{"body":{"content":"****对于粉刺不具有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284159},{"body":{"content":"熬夜吃辛辣食物了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289836},{"body":{"content":"*****具有**的作用，对于粉刺治疗帮助也不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292537},{"body":{"content":"对呢，熬夜和吃辛辣饮食是不对的。^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050306921},{"body":{"content":"那应该用什么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308827},{"body":{"content":"闭合性粉刺，主要是跟饮食辛辣刺激上火油腻甜腻，心情不好急躁，作息不规律，睡眠不足，熬夜，学习压力大、便秘等有关。\n\n要清淡饮食，辛辣、油腻、甜腻、烫的、刺激的不要吃；不熬夜；多喝水，多吃水果蔬菜；\n\n保持心情愉快，大**畅，营养均衡，保证足够睡眠；\n\n饭后根据面部油腻情况建议温水洗脸，可以用控油洗面奶。\n\n用药上可以晚上涂抹******，不要轻易挤压。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329984},{"body":{"content":"****使用的注意事项为：\n该药怕光。\n需要夜间避光使用。\n白天必须清洗掉。\n用药前皮肤要清洁干燥，不要有水。\n皮肤有破损的地方不可以涂抹。\n要避开眼周皮肤薄嫩的区域。\n\n它在治疗的过程中有一部分皮肤敏感的患者可能会有一定的刺激感。因此建议使用时先小范围、短时间（起初15-20分钟左右，就可以清洗掉了）少量点涂。\n如果1~2天没有明显的刺激感，再全部患处、较长时间点涂于患处。\n\n如果患处出现轻微的瘙痒、刺痛感，是正常的，**可以耐受。\n\n若出现患处出现明显红肿，瘙痒，刺痛明显等症状。就需要停药，将药品清洗掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356472},{"body":{"content":"如果皮肤比较敏感。\n可以先涂护肤品再涂药膏，这样可以减少药物的刺激。\n\n如果不是敏感肌是属于正常皮肤。\n先涂药膏后涂乳液可以增加药膏的吸收量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368175},{"body":{"content":"这个痘印现在属于红痘印还是黑痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430712},{"body":{"content":"怎么可以祛除呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444099},{"body":{"content":"红色。略偏黑。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446189},{"body":{"content":"这种情况也可以使用******来淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452082},{"body":{"content":"需要涂精华产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474982},{"body":{"content":"一定要注意防晒，是晒会导致痘痘形成痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488048},{"body":{"content":"不需要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491640},{"body":{"content":"可以用**类的产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516997},{"body":{"content":"和那种修红痘印的精华","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534521},{"body":{"content":"聊胜于无。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543455},{"body":{"content":"治疗作用肯定是不如药物强的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050548565},{"body":{"content":"我这些天一直用****涂痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549458},{"body":{"content":"也可以呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554346},{"body":{"content":"发现没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555996},{"body":{"content":"看不出来太大效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563278},{"body":{"content":"***对于粉刺和痘印也有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563510},{"body":{"content":"需要连续用药一段时间。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568860},{"body":{"content":"还是得****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572135},{"body":{"content":"***要温和一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594274},{"body":{"content":"****的力量要强一些。当然了，****的刺激感可能要比***要强一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617775},{"body":{"content":"***可以和***一起使用吗 还是就***就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623303},{"body":{"content":"所以如果您的皮肤特别敏感，可以继续使用一段时间***\n\n如果不是敏感肌，是正常的皮肤，****的治疗作用更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645846},{"body":{"content":"只用***就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653898},{"body":{"content":"我用的是百分之15的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654011},{"body":{"content":"对的，绝大多数患者最开始使用的时候都要从低浓度用起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674738},{"body":{"content":"大概使用一个月之后，当皮肤建立耐受，可以适当提高浓度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696093},{"body":{"content":"好的 之后耐受用百分之多少的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755914},{"body":{"content":"20%","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764558},{"body":{"content":"好谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780488},{"body":{"content":"不客气哒^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797143}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608565},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049618622},{"body":{"content":"十分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049636727},{"body":{"content":"我看足背软组织有肿胀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641079},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049669291},{"body":{"content":"目前建议24小时之内可以进行冰敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049705102},{"body":{"content":"24小时之内再行热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721933},{"body":{"content":"同时可以使用云南白药气雾剂进行涂擦改善循环，**止痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749060},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049768337},{"body":{"content":"不客气啦，冰敷时候冰袋要用毛巾包裹，不然会冻伤的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822121},{"body":{"content":"好的，谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049882113},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890519}]

女37岁

2022.05.20

[{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879114305},{"body":{"content":"您好，我是京东皮肤专业主治医生***，由于问诊时间或者次数有限制，为给您提供更好的的诊疗方案，请问您依次回答您这种情况多久了？最近都用过什么药物治疗（具体药物名称），如果有过敏药物，肝肾，心脏等慢性疾病以及备孕请提前说明（不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879239331},{"body":{"content":"最近一直在涂抹*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879283186},{"body":{"content":"口服的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365203},{"body":{"content":"没有口服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879395084},{"body":{"content":"之前在地方医院开过药是口服的 但是忘了叫啥名字了 因为是前年看的病 那个医生说是痤疮 开口服的就行 好像是去火的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879460551},{"body":{"content":"因为我是军人 所以外出看病有些限制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879477824},{"body":{"content":"当时口服那个药物确实痘痘下去了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498922},{"body":{"content":"什么时候严重一些？与熬夜，饮食辛辣，作息不规律，心情不好，长期使用电子产品（电脑前工作，刷**，玩游戏），***等有关系嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879542397},{"body":{"content":"都有一点吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879572253},{"body":{"content":"因为职业问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879579311},{"body":{"content":"熬夜几乎不会 除非晚上执勤 几乎都十点半左右入睡了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879632755},{"body":{"content":"根据您目前的情况，我建议口服******一天2次，一次50mg（如果口服后有头晕等不适，放到睡前一次性吃2粒），白天外用******一天两次。晚上点涂******一次，外用药物都只摸痘痘上（您需要的处方已开，审核通过后按照提示购买，京东大药房的都是正品）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720639},{"body":{"content":"好的我已经购买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879821448},{"body":{"content":"如果有不适我再联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879837819},{"body":{"content":"医生这和饮食有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980571},{"body":{"content":"成人奶粉和***增肌类型的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880035989},{"body":{"content":"主要与饮食辛辣，熬夜，作息不规律有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880054885},{"body":{"content":"这段时间尽量要注意休息，清淡饮食，不要吃辛辣刺激的食物（麻辣烫，火锅，烧烤等），少吃油腻的食物（肯德基，麦当劳，红烧肉等），甜食（巧克力，糖果等），多吃蔬菜水果，保持大**畅，少熬夜，少抽烟喝酒，尽量不要长期玩电脑游戏，刷**，看**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880059065},{"body":{"content":"牛奶和成人奶粉之类的奶制品可以饮用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153298},{"body":{"content":"而且我是油性皮肤 易出汗 我们训练量也很大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880180838},{"body":{"content":"洗面奶护肤之类的有要求吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880274343},{"body":{"content":"高脂的牛奶尽量少喝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881745118},{"body":{"content":"********的这几个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881772419},{"body":{"content":"好的明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882190289},{"body":{"content":"嗯，好的，不客气，按时用药治疗的同时注意我说的注意事项同等重要，一般2周左右复诊，根据病情变化调整治疗方案（如果用药过程中有不适请及时复诊或者附近医院及时就诊）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882283910}]

男23岁

2022.05.20

[{"body":{"content":"您好，我是主治医师安利娟，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219677},{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222291},{"body":{"content":"您好，建议吃含糖量少的并且含有添加剂少的饼干。这个饼干可以吃，建议适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050462145}]

女

2022.05.20

[{"body":{"content":"可以用，但是不要弄到眼睛里去，有刺激性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965796971},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965813550},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965901609},{"body":{"content":"不用了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966156723},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966175068}]

女40岁

2022.05.20